AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (137)

•Diagnostic Errors (128)

•Identification Errors (97)

•Discontinuities, Gaps, and Hand-Off Problems (383)

•Fatigue and Sleep Deprivation (78)

•Medication Safety (1083)

•Medical Complications (393)

•Nonsurgical Procedural Complications (74)

•Surgical Complications (373)

•Transfusion Complications (16)

•Psychological and Social Complications (184)

Origin/Sponsor

•Africa (5)

•Asia (22)

•Australia and New Zealand (78)

•Central and South America (6)

•Europe (257)

•North America (3371)

Resource Types

•Clinical Guideline (7)

•Journal Article (2514)

•Legislation/Regulation (56)

•Meeting/Conference (47)

•Newsletter/Journal (18)

•Newspaper/Magazine Article (434)

•Press Release/Announcement (27)

•Special or Theme Issue (70)

•Tools/Toolkit (77)

•Web Resource (145)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (657)

•Active Errors (425)

•Latent Errors (218)

•Near Miss (56)

Approach to Improving Safety

•Quality Improvement Strategies (958)

•Legal and Policy Approaches (469)

•Error Reporting and Analysis (1000)

•Communication Improvement (991)

•Human Factors Engineering (430)

•Teamwork (359)

•Specialization of Care (248)

•Logistical Approaches (239)

•Culture of Safety (696)

•Technologic Approaches (639)

•Education and Training (753)

Clinical Areas

•Allied Health Services (14)

Target Audience

•Health Care Providers (2937)

•Health Care Executives and Administrators (3113)

•Non-Health Care Professionals (1690)

•Patients (338)

Setting of Care

•Hospitals (2100)

•Psychiatric Facilities (14)

•Residential Facilities (70)

•Ambulatory Care (351)

•Outpatient Surgery (37)

•Patient Transport (28)

1 - 20 of 3790

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BOOK/REPORT

"What Did the Doctor Say?:" Improving Health Literacy to Protect Patient Safety.

Oakbrook Terrace, IL: The Joint Commission; 2007.

STUDY

Intimidation: practitioners speak up about this unresolved problem.

Smetzer JL, Cohen MR. Jt Comm J Qual Patient Saf. 2005;31:594-599.

STUDY

An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.

Weingart SN, Simchowitz B, Padolsky H, et al. Arch Intern Med. 2009;169;1465-1473.

MEETING/CONFERENCE PROCEEDINGS

The Safe Use Initiative and Health Literacy: Workshop Summary.

Vancheri C; Roundtable on Health Literacy; Institute of Medicine. Washington, DC: National Academies Press; 2010. ISBN-10: 0309159318.

NEWSPAPER/MAGAZINE ARTICLE

Empowering families in emergencies.

Spath PL. Hospital & Health Networks. February 20, 2007.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

BOOK/REPORT

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.

BOOK/REPORT

First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.

Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.

NEWSPAPER/MAGAZINE ARTICLE

Drug shortages: national survey reveals high level of frustration, low level of safety.

ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010;15,1-6.

COMMENTARY

Sidelining safety — the FDA's inadequate response to the IOM.

Smith SW. N Engl J Med. 2007;10:960-963.

AWARD ANNOUNCEMENT

ISMP Cheers Awards.

Institute for Safe Medication Practices.

STUDY

Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room.

ElBardissi AW, Wiegmann DA, Dearani JA, Daly RC, Sundt TM 3rd. Ann Thorac Surg. 2007;83:1412-1418; discussion 1418-1419.

AWARD RECIPIENT

ISMP Announces 10th Annual Cheers Awards Recipients.

Huntingdon Valley, PA: Institute for Safe Medication Practices; November 7, 2007.

PRESS RELEASE/ANNOUNCEMENT

Patient Safety & Clinical Pharmacy Services Collaborative.

Rockville, MD: Health Resources and Services Administration.

NEWSPAPER/MAGAZINE ARTICLE

Too many abandon the "second victims" of medical errors.

ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.

STUDY

Utility of an online medication-error-reporting system.

Savage SW, Schneider PJ, Pedersen CA. Am J Health Syst Pharm. 2005;62:2265-2270.

COURSE MATERIAL/CURRICULUM

Patient Safety Modules.

American College of Preventive Medicine.

STUDY

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

Cushman JT, Fairbanks RJ, O'Gara KG, et al. Prehosp Emerg Care. 2010;14:477-484.

STUDY

Improving patient understanding of prescription drug label instructions.

Davis TC, Federman AD, Bass PF III, et al. J Gen Int Med. 2009;24:57-62.

COMMENTARY

Creating complex health improvement programs as mindful organizations: from theory to action.

Issel LM, Narasimha KM. J Health Organ Manag. 2007;21:166-183.

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